ComplaintsforFreedom Health
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Complaint Details
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Initial Complaint
02/21/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Resolved
On February 5, 2024, I initially called Freedom Health for a "new" ID card (because I am changing doctors). Now, February 19,2024, I called again for a "new" card. They told me it would be another 15 days before I receive the "new" card. I HAVE TO HAVE THAT NEW CARD SO MY "NEW" DOCTOR CAN SEE THAT I'M ASSIGNED TO HIM (AS A PATIENT). My former doctor is no longer with **************************** in **********, *******. I HAVE SERIOUS HEALTH PROBLEMS, INCLUDING A HEART PROBLEM AND SERIOUS BLOOD PRESSURE PROBLEM . I NEED THAT MEDICAL ID CARD !!!!Business response
02/28/2024
Following the primary care physician change completed on 02/12/24, the health plan mailed the updated ID card on 02/15/24 which takes ***** days to arrive. A second ID card request was submitted on 02/19/24 as an expedited request and mailed to the member on 02/21/24. The plan has placed outreach to the member and confirmed that he has received the updated ID card for his new primary care physician.Customer response
03/06/2024
Better Business Bureau:I recently submitted a complaint about Freedom Health Insurance. This complaint has been resolved. Im not sure if you update my complaint or delete it.
My ID : ********
Thanks,
********************
*******************************************
Initial Complaint
02/12/2024
- Complaint Type:
- Customer Service Issues
- Status:
- Answered
My agent *********************** has been terrible. Wont return phone calls or text. Submitted my application wrong and the freedom life insurance company is terrible customer service! They charge your account every month but care less to provide service for the money they take. Waiting over a week to get answers on my application. Had insurance cancelled because no one calls back or provides information on my doctors and many doctors say they wont take it cant find the plan. Very shady may need a full refund since ai got no access to medical care or insurance for over a year! Have my agent *** and his manager call me ****Business response
02/16/2024
Upon review, the customer has never been enrolled under the Freedom Health ******** Advantage plan. There were no current active accounts found or applications previously received for enrollment with our health plan. Per the complaint details, the customer's issue is with ********************** ************** Company.Initial Complaint
05/30/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Large hole in my tooth. Should have been pulled months ago but insurance company keeps making mistakesBusiness response
06/09/2023
In response to the complaint, we contacted our dental vendor regarding the issue. The plan's dental vendor has made several unsuccessful attempts to speak with the complainant via phone, but no contact was made, and voice messages were left. The health plan will review the calls to the plan to determine if there were any missed plan opportunities. If there are any missed opportunities identified coaching/training will be provided to the representatives.Initial Complaint
11/01/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Freedom Health has failed to make a payment on a legitimate claim by Sarasota ********************** ambulance service provided to my father, ********************* on 01/28/2022.They had made a payment for the previous service by this same provider, that occured on 01/19/2022.My father passed away on 02/01/2022. Freedom Health has CLOSED the account without resolving the issue. Two phone calls to their customer service (on 10/10/2022 and 10/31/2022) ended with a half-an-hour hold and being disconnected!We are willing to pay our share of the ambulance service cost (based on previous explanation of benefits, it's $150.00, but not Freedom Health's portion.My father's ******* ID# with ******************** is P00096940.Invoice from Sarasota ********************** #DSCFD20075. Incident #F22005077.Due to non-payment by Freedom Health this item is now in collections.Business response
11/02/2022
Our records indicate the claim thats in question was denied due to hospice election. The claim should have been submitted to ******** for the date of service. When the claim was denied, a notice was sent to the provider advising of this information. On 11/2/2022 at 1:35 pm, the health plan contacted the providers billing department at ************ regarding the issue. The plan explained why the claim was denied and requested the provider submit the claim to ********. The provider informed the plan a request would be submitted to remove the balance from collections, and the claim would be submitted to ********.The health plan recommends the complainant should follow up with the provider regarding the request. Regarding the phone calls to the plan, the health plan will review the calls to determine if there were any missed opportunities. If there were any missed plan opportunities identified coaching/training will be provided to the representatives.Initial Complaint
09/26/2022
- Complaint Type:
- Product Issues
- Status:
- Answered
On 5/5 I went to Freedom Health in ******** and saw Dr. **** because of a groin hernia. This is 9/26 and I still have not had surgery. Freedom Health has not forwarded any test results to surgeon until I had to call (Labs, Stool, Ultrasound, and CT Scan.) I finally got CT Scan on 9/20 and my surgeon has not been sent the results.Surgeon requested approval for six visits, Freedom would only approve two at a time.Freedom does not respond to messages in their Portal.My hernia has grown since it is taking so long to get care.These delays can't be just incompetent workers who are "Quite Quitting". Don't listen to those TV Commercials with ex-celebrities telling to "call and check your zip code", "get money back every month". I should have went to the VA. The VA healthcare isn't perfect, but it is far better than the delays I am finding with Freedom Health.I think ******** Advantage companies are a big scam which are killing our seniors. Next year I turn 65 and I am switching to ******** Plan G (no networks or pre-approvals).I don't think the BBB can really do anything. I just want others to know about this ******** Scam. ******** Advantage companies should be outlawed, go with ******** Plan G or N (Medigap).Business response
10/04/2022
The health plan has been in contact with the complainant and we have addressed the complainants concerns. The plan will review the prior communications with the complainant to determine what occurred and we will address any missed plan opportunities.Initial Complaint
05/23/2022
- Complaint Type:
- Billing Issues
- Status:
- Answered
During the months of February, March, April and May i have been dealing with an issue regarding Freedom Health. Although it also pertains to Argus Dental. I have been contacting Freedom and ARGUS to obain providers undere their network to get dental work done. I was in need of an oral surgeon as i have health issues and needed to be put under to be able to extract various teeth. This procedures was done and it was an out of pocket of $1300. I need to have a deep cleaning which is covered under our Argus but it cannot be with a Periodontist and it has to be with a dentist. That to this date they have been able to provide. I have gone to three dentist that Freedom and Argus have provided to than arrive at the dentist office and find out that the provider nis not on the nrtwork. What is going on. I am frustrated and i highly considering changing and getting out of Freedom Health who proclaims to be a five star business. Therefore right now i cannot afford another $600 for a deep cleaning and on top another $800 for dentures. This is frustrating when both companies do not have their information updated and my waste of time and money.Business response
06/22/2022
Business Response /* (1000, 5, 2022/06/03) */ The health plan will review the call history to determine what occurred when the beneficiary contacted the plan and the dental vendor. The plan will address any missed opportunities identified. On 5/24/2022 the health plan contacted our dental vendor regarding the issue. The vendor provided the plan with an in-network dental provider for the services that are being requested by the beneficiary. The health plan placed an outbound call to the dental provider and was able to confirm the services could be provided. On 5/24/2022 the health plan placed an outbound call to the beneficiary. The beneficiary was provided with the information for the dental provider. The beneficiary was satisfied with the resolution.Initial Complaint
04/11/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I have been having problems with my freedom health insurance and have contacted their customer service office twice asked them for help but they haven't done nothing about yet. Can you please call them and tell them to resolve this problem or at least call me and tell what I should do?.Business response
05/24/2022
Business Response /* (1000, 11, 2022/05/16) */ Our records indicate the beneficiary contacted the health plan on 4/4/2022. Per the recorded call, the beneficiary informed the plan of some issues that had occurred with a provider, and a grievance was filed. The plan's representative offered to assist the beneficiary with changing to a different provider, but the beneficiary declined. In response to the complaint, the plan contacted the provider regarding the issue. On 4/27/2022 the plan spoke with the beneficiary and a resolution was provided to the beneficiary via phone. Consumer Response /* (3000, 13, 2022/05/16) */ (The consumer indicated he/she DID NOT accept the response from the business.) Is tge second time I had complained about a doctor to Freedom and instead of telling the that the way she is acting is wrong they twice they asked me to changed the doctor. Business Response /* (4000, 15, 2022/05/17) */ When a complaint is filed against a provider the health plan will contact the provider to request for a statement to be provided. The health plan monitors the complaints that are filed against the providers. If a beneficiary is dissatisfied with a provider, he or she does have an option to switch to a different in-network provider. Consumer Response /* (4200, 17, 2022/05/18) */ (The consumer indicated he/she DID NOT accept the response from the business.) I do not accept it because since I freedom has been my Medicare insurance I have been complaining about different doctors for different reasons and the have done nothing about it. Most of the time instead of the doctors all I get to see in their offices is a nurse.Initial Complaint
08/22/2021
- Complaint Type:
- Billing Issues
- Status:
- Answered
Freedom Health Insurance asking me a primary Doctor that does not want to take care of me. I contacted Freedom Customer service office and told them what was hapening. They told me that they can't force the Doctor to do anything for me. Right now I can not change my Insurance because I am on Medicare and I am not allow to change my plan until September. Can you please tell Freedom health Insurance that what they are doing to me is wrong?:Business response
09/17/2021
Business Response /* (1000, 5, 2021/09/01) */ Prior to filing the complaint, we spoke to the member regarding the issue. We addressed the member's concerns with his primary care physician. We assisted the member with changing his primary care physician. In response to the complaint, we contacted the member and we addressed the member's concerns.Initial Complaint
05/16/2021
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Answered
On 30 Aug 20 I went to the Villages ER in extreme back pain as I have an artificial aorta. which is always a concern. This was during the pandemic and doctors offices were all shut down for weeks. The ER Dr coded me as under observation when a cardiologist came and ordered heart tests which showed no problems. After I was cleared by the cardiologist I didn't see the necessity of staying overnight so pd my copay and went home. When bills starting coming in i was told by Freedom there was a mixup and they would straighten it out. The next thing I know I received a collection letter for the hospital bill for $250. Freedom said'observation' isn't covered, that I could have gone elsewhere for heart tests which obviously was not possible nor desirable being in pain, told me I need to call from the ER to see if things are covered. I filed a complaint with Freedom and subsequently with Medicare who denied coverage based on legal verbiage that they don't cover observation and this was my copay.Business response
06/04/2021
Business Response /* (1000, 6, 2021/05/21) */ Per the case description, the complaint is regarding the member's emergency room copay for date of service 8/30/2020. Per the member's 2020 Evidence of coverage, Page 83 states the member has a $250 copayment for each Medicare-covered outpatient hospital facility visit, clinic, outpatient treatment room, observation room, or outpatient surgery services. Page 84 states the member has a $250 copayment for each Medicare-covered outpatient hospital facility visit, clinic, outpatient treatment room, observation room, or outpatient surgery services. The member appealed the copay which was upheld by the health plan as a contractual obligation. The case was submitted to Maximus and they agreed with the health plan's decision. In response to the complaint, the plan contacted the member and advised the next step is to request for an ALJ hearing.
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Contact Information
Customer Complaints Summary
10 total complaints in the last 3 years.
4 complaints closed in the last 12 months.